Tag Archives: Texas medicaid expansion

It’s an old but often true saying that “everything’s bigger in Texas”. But if that’s the case, shouldn’t the shame felt by two-faced Republican leaders be out-sized as well?

For the latest example, let’s take the foolish games that the Texas Governor and Republican-dominated Legislature continue to play around Medicaid Expansion. For 5 years now, Texas has shown total opposition to the possibility of expanding the federal program under the Affordable Care Act. Leaders in Austin have done this even as their citizens continue to suffer under a lesser standard of care than other states, all based on the principle that Texas “doesn’t want any help” from the Federal Government.

Yep… that’s what the mostly Republican lawmakers say. But according to Edgar Walters of the Texas Tribune, what they do is an entirely different story…

State health officials confirmed Tuesday they have asked the Obama administration to keep a 15-month lifeline of federal Medicaid money flowing into Texas to help hospitals treat uninsured patients.

That money would offer temporary relief to health care providers who face losing the funds — some $3.1 billion annually — over state leaders’ refusal to provide government-subsidized health coverage to low-income adults under the Affordable Care Act, President Obama’s signature health law.

Federal officials previously signaled they would stop footing the bill for at least some of Texas’ costs for “uncompensated care” — the burden on hospitals when patients can’t pay for their visits. Under the Affordable Care Act, Texas was encouraged to expand its Medicaid program to cover nearly 1 million additional adults living in poverty — a move that would have given more poor patients a means to pay for care. The state’s Republican leadership has vehemently opposed that option, criticizing Medicaid as an inefficient government program.

In a letter dated April 7 and first released to The Texas Tribune on Tuesday, Texas health officials asked the federal government to continue the funding for uncompensated care for one year and to pony up an unspecified prorated amount for an additional three months. It is unclear if the Centers for Medicare and Medicaid Services, which oversee those federal funds, will approve the state’s request.

Yes you read that correctly. While the lawmakers hurl criticism at Obama and practice politically-convenient ideology, they leave state health officials to grovel for funding and hang Texas hospitals out into an uncertain future.

Baseless opposition without realistic solutions? Maybe it’s time for some Austin lawmakers to grow up.

Despite overwhelming cries from across the state, the Texas Senate has once again ignored all common-sense on Medicaid. Instead of taking critical dollars that Texans are already paying for under the ACA, Austin lawmakers would rather make threats to cut the existing program, unless the Obama Administration meets a plethora of demands. Here’s the story from Edgar Walters of the Texas Tribune…

Leading Texas Republicans on Monday asked the Obama administration for greater flexibility to administer Medicaid — a move that has gotten little traction in the past — while reiterating that they would not participate in an expansion of the program under the Affordable Care Act.

“Any expansion of Medicaid in Texas is simply not worth discussing,” state Sen.Charles Schwertner, R-Georgetown, chairman of the Senate Committee on Health and Human Services, said at a press conference.

It’s worth noting that the opposition to ACA Medicaid expansion is coming solely from Republicans in the Senate. But outside of Austin, the chorus of leaders that support Medicaid Expansion is decidedly bi-partisan. None of this, however, matters to our “fair” legislature.

The letter Dan Patrick sent to Washington is nothing more than sensational demands that weren’t even granted under a Republican President. Yet still, this is the conversation that Austin wants to have. The Houston Chronicle‘s Lisa Falkenberg has more thoughts on that “conversation”…

Far from suggesting ways Texas could expand access to health care, the letter penned by Patrick and Sen. Charles Schwertner, R-Georgetown, suggested only ways to cut services for those currently eligible, 96 percent of whom are children, pregnant women, the elderly and disabled.

The letter lamented Texas’ rising Medicaid case loads, without mentioning the state’s soaring population or the fact that children benefit most from the program.

“This trajectory is clearly unsustainable,” the letter says, and then accuses the Medicaid program of continuing to “crowd out” funding for other needs such as education, transportation and water. Last time I checked, it wasn’t poor people or the federal government proposing billions in tax cuts over the adequate funding of education, transportation and water.

In the letter, senators suggest doing away with provisions aimed at covering more babies and children and preventing their coverage from lapsing. It also proposes placing work requirements on able-bodied adults receiving Medicaid, making it seem like there are a large number of layabouts leaching off a government program.

In truth, those able bodies are parents who qualify for Medicaid only because their children do. They make up about 155,000 recipients in a program serving 4 million, according to Anne Dunkelberg, a policy analyst with the nonprofit Center for Public Policy Priorities. Such coverage is temporary and the income requirements are strict. A mother with two children can earn only $4,000 a year – yes, a year – to qualify for Medicaid.

As Falkenberg outlines, this letter is far from a request to the Obama Administration. It’s a ransom note. Anyone who is hopeful that the Texas legislature is looking to do the right thing by our state would be wrong. Instead, this week makes clear that Republican lawmakers wish nothing more than to endanger not only our poorest citizens, but state hospitals, and our whole healthcare system.

With the New Year comes a whole crop of new leaders for the Lone Star State. With the election of Governor Greg Abbott, Lieutenant Governor Dan Patrick, and everyone else, Texas has now had its most significant transition of power in the 21st century. Indeed, Abbott will only be the second person to hold the state’s top job in this century.

But despite the time-tested song lyric, old acquaintance shall not be forgot, at least not totally. Ex-Governor Rick Perry is sure to dominate the news cycle as he mounts his second run to be President of the United States. Funny… for a guy that spends so much time complaining about the “burdens of government”, Perry sure does seem to enjoy government jobs. It’s quite ironic.

The other really big news comes from Austin, as lawmakers reconvene for the 2015 legislative session. Despite strong campaign pledges to the contrary, pressures are mounting for the legislature to find a Texas solution for Medicaid Expansion. If left undone, state hospital funding sources will be decimated, and many more smaller healthcare facilities will be forced to close down. Whether Republicans hold ideological opposition to the law or not, ignoring the issue could spell certain doom for the state’s rural hospitals.

Fracking will also monopolize much political attention this year, as the lege tries to deal with how to punish the citizens of Denton for voting to ban the controversial practice within their municipality. Legislators also have to figure out a response to new clean air proposals for the EPA from the Obama administration, which would force the state to cut pollutants.

It’s no secret that the composition of the 2015 legislature will be much further to the fringe right than virtually any previous year. Which is why it shouldn’t be surprising to see that a bunch of Anti-Equality legislation has already been filed in advance of the upcoming session. As LGBT rights watchdog John Wright reports for the Texas Observer, it could be a tough couple of months for the Texas LGBT community…

…a month before the session begins, the flurry of legislation suggests that, thanks in part to the legalization of same-sex marriage across much of the nation, conservatives will challenge gay rights in the name of religious freedom in the 84th Texas Legislature.

[…]

Experts say the amendments could limit cities’ ability to enforce LGBT-inclusive nondiscrimination ordinances. In addition to Plano, cities that have passed LGBT-inclusive nondiscrimination ordinances include Austin, Dallas, Fort Worth, Houston and San Antonio.

That’s because business owners could claim exemptions from the ordinances if they have sincerely held religious beliefs—such as opposition to same-sex marriage—making it legal for them to fire employees for being gay or refuse service to LGBT customers.

“It blows a hole in your nondiscrimination protections if people can ignore them for religious reasons,” said Jenny Pizer, senior counsel at the LGBT civil rights group Lambda Legal.

These “license to discriminate” bills will definitely be something to watch out for in Austin starting next week. But this week, all of the major legal action will take place in New Orleans, as the United States 5th Circuit Court of Appeals will hear challenges against the state’s marriage ban. As the nation’s most Conservative appeals court, no one is quite sure how the ruling will come out.

Finally, just because the 2014 election fever has broken doesn’t mean that the fun stops until November 2016. This month, there will be a whopping 3 special elections, as voters try to fill seats vacated by State Senator Leticia Van de Putte, Rep. Mike Villarreal and Rep. Tim Kleinschmidt.

Whatever triumphs and challenges lie ahead, you can be sure that Texas Leftist is on the case for 2015. No matter who leads in the state house or City Hall, the Progressive, Common-Sense Agenda will always be a a vital part of Texas politics.

In the Eighth installment of the 2014 Texas Leftist Candidate Questionnaire, we hear from Susan Criss, former Galveston County District Judge and candidate for the Texas House of Representatives, District 23. She is a Democrat.

Please note: Responses have been received directly from the candidate, and have been posted ver batim from the email received. This is done out of fairness to all candidates. Publishing these responses does not constitute an endorsement, but will be considered during the endorsement process.

TL: What is your name, as it will appear on the ballot?

SC: Susan Criss

TL: Are you a current or former elected official? If so what office(s)?

SC: I was a district judge here in Galveston County for 15 years.

TL: As a political candidate, you clearly care about what happens in certain levels of government. In your own words, why is government important?

SC: Government is essential to protecting people’s rights, property, and quality of life. After Hurricane Ike I saw the impact that laws and government had on the recovery process. I want to be a voice for the people of District 23 in Austin

TL: If elected, name your top 3 priorities you hope to accomplish for 2015 legislative session. Describe how you plan to accomplish them.

SC:

1.) Protecting citizens of HD 23 from the economic consequences of the storms we endure. I plan to hold insurance companies to their commitments, and stand up for the people of Galveston and Chambers counties, not the insurance industry.

2.) I plan to find solutions to the water crisis. Despite being surrounded by water, our area is constantly under water restrictions. Conservation efforts as essential to ensuring our citizens and our industries have a sufficient water supply.

3.) Adequately and sufficiently funding public education. Providing our children with a quality education is not a choice. Not only do we disservice our children by not funding our schools, we drive up the rates of poverty, shrink our economy, and eliminate jobs. I will work to restore the devastating cuts that my opponent’s backers pushed through the legislature in 2011.

TL: A 2013 survey found that 54 percent of Texas voters support Medicaid Expansion under the Affordable Care Act. Expansion is also supported by the Texas Hospital Association. Without Medicaid Expansion or an alternate solution, Texas Hospitals are having to provide over $5 billion dollars annually in uncompensated care to patients who lack insurance. This leaves Texas taxpayers paying not only for the uncompensated care of our residents, but also paying for expanded healthcare benefits in other states. If elected, would you support Medicaid Expansion or an alternate solution for the state of Texas, so we can bring our tax dollars back where they belong? If not, please explain why. If so, please explain how you would work to pass such a measure.

SC: I have always prided myself on my ability to work across the isle to find solutions for our citizens. As State Representative, I will work with whoever is willing to tackle the looming issue of our health insurance crisis. We must work to bring our tax dollars into our own economy, insure more people, reduce the cost on our hospitals, and stop wasting precious capital on partisan lawsuits that have such a detrimental effect on Texan’s health.

TL: In the coming years, the state of Texas is projected to have a population boom of historic proportions. But with more people and more opportunities comes an ever-increasing strain on Texas roads and infrastructure. Describe your thoughts on what needs to be done to improve Texas infrastructure now so we can plan for a bright future for the state.

SC: Our crumbling infrastructure is an ongoing cause for concern in our state. Modern, well maintained highway and bridge systems are an essential part to a booming economy. We must invest in projects that enable new companies moving to Texas to thrive, instead of choking their productivity with insufficient infrastructure. Investing in our roadways and bridges in good for the economy, and good for jobs.

TL: What makes you the best candidate for this office?

SC: My experience as a Judge has prepared me for this position. Seeing the countless faces that have passed through my courtroom has given me the distinct experience of seeing problems through the eyes of my would-be constituents. I’m a candidate that will fight for everyone, not just special interest groups. I have seen first hand how laws and legislation affect people, and I will take that experience with me to the capitol to create laws that protect the citizens of District 23, not take advantage of them.

TL: When not on the campaign trail, how do you like to spend your free time?

SC:I like spending time with my two dachshunds, Brutus and Brooke. I also enjoy photography, gardening and Pintrest.

In the just released Texas First health plan, Lt. Governor candidate Leticia Van de Putte made it official, calling for a ‘Texas solution’ to expand Medicaid in the Lone Star State. Here’s more from the campaign via press release…

San Antonio, TX —Senator Leticia Van de Putte, a pharmacist of over 30 years, was joined by colleagues as she released her Texas First Health Care plan. Leticia’s Texas First plans focus on building a smart economy, strong communities, and secure families.

At Davila Pharmacy in San Antonio, where she works when not on the Senate floor in the Texas Capitol, Leticia called for a Texas solution to our health care challenges. Leticia’s plan increases access to care for Texas women, closes the coverage gap, protects Texas businesses from tax penalties, and promotes economic growth by drawing down billions in federal funds, putting Texas taxpayers dollars back to work for Texans.

Senator Leticia Van de Putte released the following statement:

“All hardworking Texans deserve health care, not just those that can afford it. For over thirty years, I have been listening to Texans across the prescription counter. I know the successes and the tragic shortcomings of the health care system in our state.

“As Lieutenant Governor, I’ll forge a Texas solution to draw down federal funds back to Texas taxpayers, protect Texas businesses, and expand access to affordable health care in our state. One out of every four Texans lacks health insurance, that system is unsustainable, bad for business, and bad for Texas families.”

Texans are losing big time by refusing to take the ACA Medicaid expansion money. Not only are we forcing hospitals to shoulder the burden of seeing millions of people who don’t have insurance through the Emergency Room, but simultaneously we are paying for better healthcare in other states. With her release today, Senator Van de Putte ends any and all speculation of where her campaign stands on healthcare issues. If elected, she is sure to support healthcare expansion during the next legislative session.

Contrast this plan with that of her Republican opponent Dan Patrick, who remains staunchly opposed to any form of increased access to healthcare in the state.

The choice in this election is sure to affect the lives of millions of Texans. Reading this, you may know someone (or be someone) living in fear of getting sick because you can’t afford to go to the doctor. But this fall, Texans can choose not to be trapped in a constant cycle of fear from their health. Gone are the days when Republicans could just demonize the Affordable Care Act and coast to reelection. The law may be imperfect, but no one can deny that it has made a positive impact on the national healthcare system, especially in those states that haven’t fought ACA implementation to the core. This November, it’s time to bring some new leadership to Texas and put the state’s people first.

In a week filled with more eye-catching stories like the Oscar Pistorius murder saga and the looming “Republiquester”, it’s perhaps not surprising that Healthcare news isn’t on the front burner. But make no mistake… some news out of the Sunshine State is THE most important story of this week.

Last summer, after the Supreme Court’s shocking decision to uphold the Affordable Care Act, Republicans immediately stood up in defiance. The Governors of Texas, Florida, Arizona and other GOP-led states pledged then and there to fight every provision of Obamacare until their last breath. Florida Governor Rick Scott could be said the main instigator of this… after all it was his state that was the first to file suit against the law.

“While the federal government is committed to pay 100 percent of the cost, I cannot, in good conscience, deny Floridians the needed access to health care,” Scott said at a hastily called news conference at the Governor’s Mansion.

So basically… Rick Scott had to eat it. He finally sat down at his desk, looked at the PEOPLE and the MATH converging, and decided that the lives of over 1 million Floridians would benefit from Obamacare’s Medicaid provision. Make no mistake, this is a humongous win for President Obama and the Democrats, but more importantly, it’s a win for the life and health of the citizens of Florida. If the state legislature follows Governor Scott’s lead, lives will be saved in Florida. People will get care in Florida.

Now on to the true point of this article… when is Texas Governor Rick Perry going to see the ligtht as well? For all that Florida stands to benefit fom Medicaid expansion, Texans are in an even greater need.

–1 in 4 Texans are uninsured. That’s over over 6.2 million people as of 2010, and more uninsured than any other state.

-These uninsured people have no but choice to seek the emergency room. As a result they drive up Healthcare costs for everyone else. The average cost to treat a minor ailment in the Doctors office? $56.21. In the emergency room? $193.92. That’s almost 4 times the expense as it would be going to the doctor for a similar ailment (much less waiting until it becomes WORSE). Guess who absorbs those costs? And Texans wonder why our healthcare costs are soaring.

–Only 50% of working Texans have health insurance… 49th in the country. The common misconception here is that employers are supposed to offer some form of a health insurance plan. That wasn’t actually a law until the passage of the Affordable Care Act. As a right-to-work state with a plethora of low-wage jobs, Texas companies have very little incentive to offer health insurance. So contrary to popular belief, it’s not just those on welfare in Texas that are struggling to find health care. It’s many of the employed public too.

Let’s get personal for a second. The “bleeding-heart Liberal” in me wants to thank Rick Scott for his moment of clarity and sincerity, and celebrate this win for Florida, Democrats and affordable Health Care. But this is NOT the time to become complacent. The moment is now to put pressure on Governor Perry to do the math for our state. Even as he touts the “smoke and mirrors” budget surplus, Texas families are being devastated by employers that refuse to even offer health insurance (and are trying to sue their way out of it now that it’s mandated by Obamacare), and are continuing to lose sleep over that nagging health issue that they simply can’t afford to deal with this month… or the next… or the next… until it’s too late and becomes a life-or-death issue. We know that Medicaid isn’t perfect, but it’s a VAST improvement from “CrisisCaid”- the spiral so many Texans face where the emergency room is their only option. This is the moment for Texas Democrats to put pressure on the Governor. With now 7 GOP-led states biting their tongue, Rick Perry will be forced to follow suit. And if even doesn’t, Texas Democrats should carry it all the way to the 2014 ballot box.